Organization
RICHARD C BRADLEY, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C BRADLETY DPM (PRESIDENT)
(856) 629-7300
Entity
Organization
Contact information
Practice address
188 FRIES MILL RD, SUITE D-2, TURNERSVILLE, NJ 08012-2015
(856) 629-7300
(856) 629-8729
Mailing address
PO BOX 28, MULLICA HILL, NJ 08062-0028
(856) 629-7300
(610) 579-3611
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00213000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114550000
KEYSTONE
—
05
—
5172101
—
NJ
01
—
AMERIHEALTH
114550000
—
Enumeration date
02/23/2008
Last updated
09/20/2025
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